Abstract

Developing nations have implemented growth monitoring and promotion initiatives for four decades. These programs assess children's weight and provide guidance to parents on their children's physical development, addressing infections, morbidity, mortality, and growth impediments. This study aimed to identify the determinants of growth monitoring and promotion service utilization among mothers with children under two years old in Jigjiga city, Ethiopia, in 2022. A case-control study was conducted in seven randomly selected kebeles. Data were collected from 142 cases and 283 controls using simple random sampling techniques. Logistic regression analysis was performed to identify variables associated with service utilization, adjusting for potential confounders. The study included 250 male [58.68%] and 159 female [41.32%] children under two years old. The mean age of the children was 11.79 months, ranging from 0 to 23 months. The mean age of the mothers in the study was 33.92 years. Maternal education, place of delivery, antenatal care (ANC) service utilization, ANC frequency, and nutrition advice were significantly associated with growth monitoring and promotion service utilization. The utilization of growth monitoring and promotion services in Jigjiga was lower compared to other countries. Maternal education, place of delivery, ANC service utilization, ANC frequency, and nutrition advice were identified as important factors influencing service utilization. To improve the utilization of these services, it is recommended that stakeholders involved in the implementation of growth monitoring and promotion programs collaborate to ensure effective program implementation.